Echocardiographic findings in cardiogenic shock due to right ventricular myocardial infarction

Uri Elkayam, Stanley L. Halprin, William Frishman, Joel Strom, Martin N. Cohen

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The echocardiographic findings in a patient with cardiogenic shock secondary to acute right ventricular myocardial infarction based on typical clinical, electrocardiographic, and hemodynamic features are described. The echocardiogram demonstrated a large RV/LV minor axis ratio caused by a volume overload of the right ventricle and an underfilled left ventricle. The interventricular septum showed abnormal movement, presumably due to right ventricular overload or severe disease of the left anterior descending coronary artery. Diminished septal systolic thickening, as seen in our patient, may be explained by extension of the infarct from the right ventricle to the adjacent part of the septum. Predominant right ventricular involvement can be a cause for a correctable hypotension in patients with acute myocardial infarction and should therefore be recognized early. The echocardiographic picture demonstrated in our patient, when considered in conjunction with the clinical status, can be useful for early diagnosis.

Original languageEnglish (US)
Pages (from-to)289-294
Number of pages6
JournalCatheterization and Cardiovascular Diagnosis
Volume5
Issue number3
DOIs
StatePublished - 1979

Keywords

  • cardiogenic shock
  • echocardiography
  • right ventricular myocardial infarction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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